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成功修复新生儿因乳头肌破裂导致的严重三尖瓣反流。

Successful repair of critical tricuspid regurgitation secondary to a ruptured papillary muscle in a neonate.

作者信息

Min Jooncheol, Kim Eung Re, Yang Chan Kyu, Kim Woong-Han, Jang Woo Sung, Cho Sungkyu

机构信息

Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine.

出版信息

Korean J Thorac Cardiovasc Surg. 2014 Aug;47(4):398-401. doi: 10.5090/kjtcs.2014.47.4.398. Epub 2014 Aug 5.

Abstract

Severe tricuspid regurgitation resulting from a flail leaflet is a rare cause of neonatal cyanosis. We report a neonate with profound cyanosis and severe tricuspid regurgitation caused by a rupture of the papillary muscle supporting the anterior leaflet, without other structural heart defects. Ductal patency could not be established. The repair of the tricuspid valve was performed after initial stabilization by using extracorporeal membrane oxygenation.

摘要

连枷样瓣叶导致的严重三尖瓣反流是新生儿发绀的罕见原因。我们报告一例新生儿,因支持前叶的乳头肌破裂导致严重发绀和严重三尖瓣反流,无其他结构性心脏缺陷。未建立导管通畅。在使用体外膜肺氧合进行初始稳定后,对三尖瓣进行了修复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12c6/4157505/96faebf9efab/kjtcvs-47-398f1.jpg

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